The incidence of facial spasm is not low, walking in the street and in the shopping mall, a little attention may find this patient. In recent years, the epidemiological investigation of facial myospasm has not been carried out in China, and after searching the literature, its incidence rate is 14.5 for 100,000 women and 7.4 for men, mostly seen in middle-aged women; the prevalence rate is as high as 180/100,000. Patients with facial spasm often go to outpatient clinics such as ophthalmology, physiotherapy, Chinese medicine, ENT, neurology and neurosurgery, etc. The treatment is 1, medication: mainly sedative and neuroleptic drugs, such as clonazepam, Valium, carbamazepine and baclofen, etc. Such drugs can be used in the early stage of the disease remission, but discontinuation of the drug has easy relapse, and has caused dizziness, drowsiness, mental atrophy and other pay effects. Clinical observation of the vast majority of patients in the late stages of the disease are to give up taking drugs; 2, acupuncture treatment: the early stage of the disease has a certain role, some patients can slow down the progress of the disease. 3, botulinum toxin injection: facial facial nerve distribution area, multi-target local subcutaneous injection of botulinum toxin, to relieve muscle spasm has a certain effect, mainly because botulinum toxin can block the electrical conduction of facial nerve endings to facial muscles, is a conservative peripheral treatment method, if the injection location is accurate, can have a certain effect, the ideal relief time in 3-6 months, if the injection site is not accurate, can appear spasms cannot be relieved, or even long-lasting sequelae such as facial paralysis. Clinically, it is common to have patients who have injected botulinum toxin up to ten times, the first few times the effect is obvious, after that, the control time is very short, or even ineffective, and due to the accumulation of drugs, the resulting facial paralysis, facial asymmetry, at this time, even if surgery, facial paralysis can not be recovered. 4.Minimally invasive surgery: it is called facial nerve microvascular decompression, and is the only radical treatment means. Theoretically, the cure rate of this surgery should be close to 100%, and currently more than 50,000 patients worldwide have been treated with surgery for facial spasm. The overall cure rate is between 82% and 99%. The main reason for this difference in efficacy is the experience of the operator and the advanced assessment tools, which, fortunately, have been standardized in several major treatment centers in China to ensure surgical efficacy and safety. Patients’ fear of surgery; concerns about the risks and complications of surgery; and the cost of surgery are concerns that influence patients’ choice of surgery.